Impact Specialty Solutions CT PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IMPACT SPECIALTY SOLUTIONS CT PC

Practice address

850 Mix Ave
Hamden, CT 06514-2102

Phone

(212) 734-6621

NPI assigned

Jan 29, 2026

Last updated

Mar 24, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eli Wercberger, DONPI 1023679974

Title

Officer

Phone

(917) 627-2130

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eli Wercberger, DO

  • Internal Medicine Physician
  • Bayonne, NJ
  • NPI 1023679974

  CT

  Medicare reassignment Authorized official
• Simon Fensterszaub, D.O.

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1003077322

  CT

  Medicare reassignment
• Yosef Seewald

  • Physician Assistant
  • Bristol, RI
  • NPI 1942684956

  CT

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1053261123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SKILLMAN ST STE 202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MIX AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142102",
            "telephone_number": "212-734-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT SPECIALTY SOLUTIONS CT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "WERCBERGER",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "917-627-2130",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Chen Iacovelli, D.M.D.
• Marc Daniel Iannaccone, PHARMD
• Nicholas Iannotti, CPHT
• Eliran Ifrach, LPC
• Impact Care Physicians CT PC
• In-Home Chiropractic Services
• Injectable Med Compliance
• Injury Rehabilitation Center of Hamden LLC (1st Care)
• Inner Growth Counseling LLC
• Intellaplay LLC (Intellaplay ABA)

• Family Medicine Physician in Hamden, CT
• Providers in Hamden, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.